HomeMy WebLinkAboutX2017-0316 - PermitsWL�1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIq COMB Permit - X2017-0316
4' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 7 0 3 1 6 Project No: 0976-2016
F. .l Permit Counter Phone (949)644-3288
kr Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date : 912017
Area
GisElx
Inspection Area : 7
11 TOTAL FEE: $1,047.00 Plan Check Fee: $916.00 Fee Due at Permit Issuance : $131.00 11
PROCESSED BY: J� PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: 1�1 NA
n
GRADING APPROVAL: lL-lo'�I APPROVAL TO ISSUE: �'� ).N \
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00
a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 421 29TH ST NB
Description: NEW MULTIUSE (2 UNITS) •REPALCE ENGINEER OF RECORD 8: OWNER` 4678 SFI 836 SF GAR/ COMM 1989 SF, BALCONIES 737 SF 8: ROOF DECKS 414 SF /412 SF
Legal Desc.:
Owner: CANNERY PROJECT NEWPORT LP
Contractor:
BERK CUSTOM HOMES INC
Architect:
BRANDON CHRISTOPHER
Address: 428 OLD NEWPORT BLVD
Address:
428 OLD NEWPORT BLVD
Address:
3001 RED HILL AVE, BLDG 1 STE 102
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92663
COSTA MESA CA 92626
Phone:
Phone:
949-300-5152
Phone:
949.533-2340 State Lic:C031637'""
Applicant: BRANDON CHRISTOPHER
Con State Lic:
1017631
Engineer:
DEIHIMI DAMIR HOSSEIN
Address: 3001 RED HILL AVE, BLDG 1 STE 102
Lic Expire:
08/3112018
Address:
23172 PLAZA POINTE DR STE 146
COSTA MESA CA 92626
Bus Lic:
BT30057033
LAGUNA HILLS CA 92653
, • ° °
'
/Phone: 949.533-2340
Lic Exp Date:
1013112017
Phone:
949-954-7244 State Lic:C-078194
�/ Code Edit: 2013
Worker's Compensation Insurance
Designer:
Type of Construction: V -B -SPR
Carrier:
STATE COMP
Address:
Occupancy Group: R31U -
No:
Policy-
Expire:
9212219
0610612019
Phone:
Added /New sq ft Bldg: 6667
•
Added /New sq ft. Garage: 836
i9
° o °
°
a °
No of Stories 2
Building Setbacks
Rear: 10' Q'S
Special Conditions: REV17.0185
0
00
/ No of Units: 1
Front: 10' 111
_.
`°y`•o
°°,.oc
1y Bldg Height: 31
Left: 0
Bldg Sprinklers: Y
Right: 0
�. .+ 0 0
Flood Zone: X
Use Zone:
Parking Spaces: 8
Fire Hazard Zone : N
•
• °
-Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00 Planning Department
-
Fire Department
�.:
Plan Check Fee: $0.00
Additional Fee : $949.00 Plan check Fee :
$0.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $98.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $0.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
11 TOTAL FEE: $1,047.00 Plan Check Fee: $916.00 Fee Due at Permit Issuance : $131.00 11
PROCESSED BY: J� PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: 1�1 NA
n
GRADING APPROVAL: lL-lo'�I APPROVAL TO ISSUE: �'� ).N \
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicabia item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applica7tt for
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicabl n 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Divis'on 3 of Business and Profe I ITS a is in full force
nd effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION/ � ,t
'ARNING: FAILIIFFd08ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA( PENALT/ IES AND CI f FINES UP TOO UNDR USAND DOLLARS ($100,000), IN ADDITION TO
OST QF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Wreby affirm under penalty of perjury one of the following declarations:
] 15Vve and 411 maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
erfo!mance of jhe work for which this permit is issued. Policy No.
•R •�!
H'aye and welt maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
isuT2nce carrie; and policy number are:
'rfr11dr. '..:.� — Policy Number Expiration Date
F of Agent
e•
�ianatute of Aeolioai
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' Sampensation laws of California, and agre
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
D L T
NIEUDM AGENCY
hereby affirm un r dna y of ere is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code).
ender's Name Lender's Address
3y my signature Nlow, Iertify t ach of the following:
I am the property ow authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and co t nd state laws relating to building construction.
I authorize representatives of this city or co o nter t -identified property for inspection purposes.
3ignature of Property Owner or Authorized ant Print Property Owner's or Authorized Agent's Na a OS-elrl Da .a I�
ACTION DATEBY DE ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
TIONS PART 610F TITLE 40 AND AQMD RULE
PERMIT EXPIRED (,/' U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EXTENDED
PERMITFINAL „"'Zgr1O1ASBESTOS N IFI ATION IS NT PPLICABLE TO
CERTIFICATE OF PRO ED DE OLI ION
OCCUPANCY ISSUED arNATI IRF• -'�
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
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